Prigatano, Mark J.

Prigatano, Mark J. is an sole proprietor health care provider with primary practice located at 146 Pierce Ave , Macon GA 31204-2871. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Prigatano, Mark J. can be contacted via phone (478) 746-2333.

Contact Information

Primary practice address
146 Pierce Ave Macon GA 31204-2871
Phone: (478) 746-2333
Fax: (478) 845-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY001999 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY001999 Georgia

Profile Details

NPI number 1063420875
LBN Legal business name Prigatano, Mark J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Mar 21st, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063420875 NPPES
Georgia MEDICAID 000730254C

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